Dave Chase: The Opioid Crisis Wake-up Call
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Dave Chase has been building and investing in healthcare businesses for the better part of two decades. His unique perspective into the problems ailing our current healthcare system have led to his regular contributions on Forbes and the publishing of a widely referenced book. Dave will talk about one of the biggest crises facing the medical community today, and how the decline of high quality primary care is the number one culprit. He'll conclude by profiling several innovative solutions to this problem currently being fostered by the Health Rosetta Institute, a healthcare innovation venture he co-founded in early 2016.
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Dave Chase: The Opioid Crisis Wake-up Call
- 1. America’s largest public health crisis in 100 years
- 2. Opioid Crisis Wake-Up Call: Creating a Discontinuity to Address Market Failure
- 3. HR Market Making Infrastructure for driving adoption of the Health Rosetta Open marketplace simplifies adoption Build Demand Educate employers to adopt the Health Rosetta Certification,Validation Supply Curate vendors w/ certification & validation Awareness,Capture&Category Education Nurture& Qualify Engage& Close Employers&plansponsors Accessfor certified ind/org Simplify Adoption Awareness,Capture&Category Education Nurture& Qualify Engage& Close 1 3 2
- 5. You never change things by fighting the existing reality. To change something, build a new model that makes the existing model obsolete. - Buckminster Fuller
- 7. Status Quo Benefits Programs
- 8. Balanced Approach Must Include Stopping Addiction Upstream #1 Upstream Antidote: Proper Primary Care
- 9. New Target/Framing, Similar Content New Content ● Chapter 1: The Opioid Crisis Isn’t an Anomaly ● Chapter 15: The Future of Health Will Be Local, Open, and Independent ● Chapter 16: Health 3.0 Vision and Implications for Providers & Government ● Chapter 17: Economic Development 3.0: Communities Take Center Stage ● Chapter 18: Mayors Must Lead Cities Out of the Opioid Crisis ● Chapter 19: Making Sure Opioid Mitigation Plans Mitigate the Right Things ● Appendix A: Evidence-based solutions to address opioid overuse disorders ● Appendix B: A Practical Handbook for Systems Change
- 10. Despite healthcare being fundamentally local, majority of every $1 extracted from local communities ~$.4 5 1. Fraud 2. Misdiagnosis & mis- or over-treatment High-cost, commonly overtreated areas: Spine, stents, etc. High misdiagnosis areas: Oncology, MSK, etc. (25-67%) 3. Abusive & arbitrarily high prices Massive pricing failure: prices for similar quality often vary 2-10x. Extractive or no-value ~$.3 0 Health plan/system admin & overhead Often national, unnecessary, and/or wasteful Often extractive ~$.2 5 Paying high-value care providers A treating physician often receives only $.10-.15 on a given procedure Generally not Extractive Note: These are very, very high-level approximations for illustrative purposes. They’re based on multiple widely recognized sources and generally accepted data. Sample content from Econ Dev 3.0 chapter
- 11. Mindset Shifting Roadshow/Air Cover ● Targeted at catalyzing employers & civic leaders (mayors, sheriffs, school board, faith & social service leaders) ● Building off success & lessons learned from NC employer opioid summit by Health Rosetta advisors ● Timeframe: September & beyond ● Partner ecosystem: Curated partners only. One sponsor per category per city. ● Stops will be lit up based on demand and underwriting ● PR/Media support ● Locals will fix local healthcare: That means you! Join us tomorrow if you want to help lead change in your community
- 13. Twitter/LinkedIn: @chasedave Health Rosetta: www.healthrosetta.org Free CEO’s Guide download: healthrosetta.org/friends Preview of Opioid Crisis Wake-up Call for those who want to lead: https://healthrosetta.org/wakeup- call/advance-ecosystem/ Health 3.0 https://healthrosetta.org/health30/
Editor's Notes
- The scale of the medical and financial devastation that health care has wrought on America is something most people can’t imagine. The opioid crisis, the largest U.S. public health crisis in 100 years, is entirely a self-inflicted wound, driven almost entirely by a dysfunctional health care system.
- Only certified people/solutions have access to the platform. They have to play by the rules of the game that ensure they remain good actors. Everyone pays some fee for transactions w/ a model that doesn’t overemphasize volume. Optionally, employers can join the education, concierge, & community platform. Not required though.
- Make no mistake, if you are continuing status quo benefits, you are playing Russian Roulette with your clients' members Clear message: Continuing to promote status quo benefits is very clearly supporting the extension/worsening of the opioid crisis
- 30-50% of every $1 into our $3T health care system is fraud, waste, and/or abuse. Another 25% goes to administration & overhead by remote companies. Just ~25% for the people we rely on most to provide care Call out overtreatment (stents, spinal procedures, etc. where there's virtually no evidence yet huge spend) & misdx examples (25-67% in oncology, MSK)
- For too long, we’ve let health care crush the American Dream. We can’t take another 20 years of economic depression for the working and middle class. Whether we knew it or not, we all contributed to this mess. Now, it’s on us to fix it. When change happens community by community, it’s impossible to stop. Yes, health care stole the American Dream. But it’s absolutely possible to take it back. Join us to make it happen in your community.